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1689981201
COPRO CLINICAL CONCEPTS, PC
CHICAGO, IL
NPI
1689981201
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Entity Type
Organization
Authorized Contact
COSTA D. PROVIS
President
847-529-8607
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
COPRO CLINICAL CONCEPTS, PC
4003 N BROADWAY ST
CHICAGO, IL 60613-2110
Phone number: 847-529-8607
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Mailing Address
COPRO CLINICAL CONCEPTS, PC
1755 E CARIB LN
MOUNT PROSPECT, IL 60056-1703
Phone number:
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